Quiz Tests CPT and HCPCS Coding Knowledge

As promised last month, this segment of CCS Prep! provides a brief multiple choice exam to test your skills in CPT and HCPCS coding. See if you can answer in one or two minutes per question. Do not assign anesthesia codes. Try answering the noncoding assignment questions from memory.

***

1. Right total frontal ethmoidectomy (external approach with Lynch incision made between left internal canthus and the nasal ridge); right maxillary sinusotomy; sphenoidotomy.

a.) 31255, 31256, 31287

b.) 31205, 31020, 31050

c.) 31205, 31256, 31287

2. A three-month-old baby presents for an adenoidectomy; bilateral myringotomy and nasal antral windows under general anesthesia.

a.) 42835, 31020, 69421

b.) 42830, 31020, 69436, 69436

c.) 42830, 31020, 31020, 69421, 69421

3. Austin bunionectomy right first metatarsal with 0.062 K wire fixation and application of cast.

a.) 28296

b.) 28299

c.) 28296, 29425

4. Esophagogastroduodeno-scopy with dilation of the esophagus over a guide wire at same operative episode.

7. Supervision and interpretation (professional component) for X-ray of right wrist, A/P and lateral views provided by the physician.

a.) 73100

b.) 25999

c.) 73100-26

8. A muscle biopsy of the arm is performed on a patient in the physician's office. The specimen is sent to a pathologist for review and interpretation with microscopic examination. Which code(s) would the pathologist report?

10. Patient is admitted for Fowler-Stephens orchiopexy. Anesthesia is ad- ministered and the surgeon begins the abdominal incision. At that time, the patient experiences significant tachycardia. The surgeon decides to discontinue the procedure.

a.) 54650-53

b.) 00928

c.) No code necessary as procedure was terminated

11. Which HCPCS level II modifier is used to indicate left foot, second digit?

a.) - T2

b.) - T1

c.) - LT

12. Which national code is used to report administration of Cisplatin, 50 mg to a chemotherapy patient?

14. Which of the following modifiers is provided for a "midlevel provider"?

a.) - NP

b.) - TC

c.) - AK

15. Surgeon A performs a surgical pro-cedure early in the morning. Later that day, the patient experiences complications, and the entire procedure is repeated by Surgeon B. What level I modifier would Surgeon B append to the surgical CPT code?

19. Which symbol indicates a new code in both the CPT and HCPCS cod- ing books?

a.) a bullet

b.) a triangle

c.) a star

20. Strabismus surgery. Recession of medial rectus muscle of left eye; strabismus surgery on superior oblique muscle of right eye.

a.) 67312

b.) 67311-51

c.) 67311, 67318

***

We hope this short quiz assists you in preparing for the CCS or CCS-P examinations. Remember, Part I of the CCS exam consists of 60 multiple-choice questions (one hour) testing both inpatient and ambulatory care (ICD-9-CM). Part I of the CCS-P exam consists of 60 multiple-choice questions (90 minutes) testing physician based coding (ICD-9-CM diagnosis only, CPT and HCPCS Level II procedure coding across all specialties).

Patricia Maccariella is manager of coding services at United Audit Systems Inc. (UASI), a national consulting company offering multifaceted HIM and business office management services, headquartered in Cincinnati.

do you help online

amina cataline

December 30, 2011

emerson, GA

how about for 2011

amina cataline

September 12, 2011

emerson, GA

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